NPIMap

Organization Active NPI

Bhupendra R. Patel MD PC

  • Internal Medicine Physician
  • Mayfield, PA
National Provider Identifier
1982993218
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD021212E Issued in PA
Legal business name
BHUPENDRA R. PATEL MD PC
Practice address
512 Lackawanna Avenue
Mayfield, PA 18433-1802
Phone
(570) 876-0209
NPI assigned
Apr 7, 2011
Last updated
Apr 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bhupendra R Patel, MDNPI 1205892999
Title
Owner
Phone
(570) 876-0209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD021212E PA Primary

Addresses

Primary practice location

512 Lackawanna Avenue
Mayfield, PA 18433-1802

Mailing address

512 Lackawanna Avenue
Mayfield, PA 18433-1802
Phone (570) 876-0209

Other identifiers 1

IdentifierTypeStateIssuer
0005902660001MedicaidPA

Other names 1

  • Bhupendra Rambhai Patel M.D. P.C. Other name

National Provider Directory

National Provider Directory

Locations

512 Lackawanna Ave
Mayfield, PA 18433
Phone (570) 876-0209

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1982993218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 LACKAWANNA AVENUE",
            "city": "MAYFIELD",
            "state": "PA",
            "postal_code": "184331802",
            "telephone_number": "570-876-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 LACKAWANNA AVENUE",
            "city": "MAYFIELD",
            "state": "PA",
            "postal_code": "184331802",
            "telephone_number": "570-876-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHUPENDRA R. PATEL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BHUPENDRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-876-0209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD021212E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005902660001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bhupendra Rambhai Patel M.D. P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mayfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.